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This is VAERS ID 274585

Case Details

VAERS ID: 274585 (history)  
Form: Version 1.0  
Age: 22.0  
Gender: Female  
Location: Arizona  
   Days after vaccination:0
Submitted: 2007-03-14
   Days after onset:21
Entered: 2007-03-16
   Days after submission:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 - / -

Administered by: Other       Purchased by: Other
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: Penicillin allergy
Diagnostic Lab Data: UNK
CDC Split Type: WAES0702USA04041

Write-up: Information has been received from a physician assistant concerning a 22 year old female with penicillin allergy who on 20-FEB-2007 was vaccinated with a first dose of HPV. On 20-FEB-2007 she developed itching, erythema and swelling at the injection site. On 21-FEB-2007 she developed hives on her abdomen, thighs and chest upon awakening. When she was seen by the physician assistant on 21-FEB-2007 the swelling and redness at the injection site was gone and the patient commented that the hives were less than before. Her prescriber put her on Zyrtec (10 mg) daily for the hives. Unspecified medical attention was sought. Additional information has been requested.

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